Case Presentation: A previously healthy 5 year-old boy presented to the emergency room with a “red and swollen penis”. No history of trauma or inciting event. The day prior, he complained of suprapubic pain and had 4 episodes of NBNB emesis. No fevers and otherwise negative ROS. Labs in the ED were significant for a [...]

Case Presentation: A 36-year-old Dominican female, G3P2002, at six weeks gestation and no significant medical history presented with complaints of fever, headache, myalgias, nausea, vomiting, diarrhea, and diffuse abdominal pain for two days. She denied any recent travels, sick contacts, or any bug bites or ticks on her body. Patient is only allergic to penicillin [...]

Case Presentation: We present a 53-year-old Caucasian male with a history of Ankylosing spondylitis and Sjogren’s syndrome who presented to the ED with cough, fever, fatigue and mild rash that appeared during his admission for a recent knee replacement. Discharged on cefadroxil, his symptoms persisted after completing treatment. No concerns for surgical site infection were [...]

Case Presentation: Schnitzler syndrome (SD) is a rare auto-inflammatory disease where patients present with recurrent fevers, arthralgias, urticaria, monoclonal gammopathy and elevated inflammatory markers. It was first described by Liliane Schnitzler in 1972 [1]. Given the complexity and rarity of this syndrome it is often underdiagnosed and causes a significant delay between disease onset and [...]

Case Presentation: A 17-year-old male presented to clinic with a pruritic and brown macular rash that was first noticed after ingesting food at a buffet a few months prior to his office visit. The rash began on his upper extremities and spread to his trunk, lower extremities, and head. He has a history of cutaneous [...]

Case Presentation: 68-year-old male with a history of recurrent angioedema, complicated by intubation, presented to the emergency room (ER) for progressive tongue swelling and dyspnea prior to arrival. He was on aspirin 81 mg for years with a recent addition of cilostazol for peripheral artery disease. Physical exam was significant for tongue and lip swelling. [...]